Clinical Features and Surgical Results of Rhegmatogenous Retinal Detachment in Children.

Lee, Jeong Whan; Song, Su Jung; Park, Young Hoon

Original Article

Journal of the Korean Ophthalmological Society 2003;44(4):830-835.
Published online April 1, 2003.

Clinical Features and Surgical Results of Rhegmatogenous Retinal Detachment in Children.

Jeong Whan Lee, Su Jung Song, Young Hoon Park

Department of Ophthalmology, Yeungnam University College of Medicine, Daegu, Korea. parkyh@med.yu.ac.kr

소아에서 발생한 열공망막박리의 임상적 특징과 수술성적

이정환 ( Jeong Whan Lee ) , 송수정 ( Su Jung Song ) , 박영훈 ( Young Hoon Park )

Abstract

PURPOSE
The purpose of this study is to evaluate clinical characteristics and surgical outcomes of rhegmatogenous retinal detachment in children. METHODS: The medical records of 29 children (30 eyes, younger than 15 years of age) who underwent the surgery for retinal detachment at our hospital were reviewed retrospectively. RESULTS: Twenty-six (90%) of the 29 patients were male, and three (10%) were female. Their average age was 11 years old (range 4years~15years). Retinal detachment was caused by, in order of frequency, trauma, high myopia, Morning glory disc anomaly, previous intraocular surgery and had an unknown cause in 6 eyes. Proliferative vitreoretinopathy (PVR) was involved in eleven (37%) of the 30 eyes at presentation. The overall reattachment rate was 73% after the first operation and 93% after the second operation. CONCLUSIONS: Retinal detachments in children have poor surgical outcomes than that in adults due to delayed diagnosis, frequent macular involvement and presence of PVR. For the children with certain diseases, we should exam carefully and regularly for the subtle changes even in the absence of specific complaints.

Key Words: Children;Chilren;Rhegmatogenous retinal detachment;Trauma